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1

What is included in a PE for FNA exam (foot and ankle)

Gait
Sensory exam
Ankle
Alignment
Hindfoot
Midfoot
Forefoot

2

What is included in the imaging for FNA exam?

Diabetic issues

Yeah thats what the slides say

3

Stance phase includes:

Initial contact
Loading response
Midstance
Terminal stance
Pre swing

4

Swing phase includes:

Initial swing
Mid swing
Terminal swing

5

What causes a lack of normal push-off?

Hallux rigidus

6

What causes the increased external rotation?

Ankle arthritis

7

Besides watching them walk, how else should you assess gait?

Shoes
- heel and forefoot wear
- heel counter wear
- toe scuffing in foot drop

8

transcutaeous oximetry (PtcO2) <40 mmHg?

Impaired wound healing

9

Transcutaneous oximetry (PtcO2) <30 mmHg?

Critical ischemia

10

Signs of vascular changes on the FNA exam?

Venous stasis
Hair loss

11

What are you checking for with fna palpation?

Effusion
Synovitis
Deformity
Crepitus
Loose bodies

12

What is equinus contracture

Limited ankle dorsiflexion not caused by bony impingement

13

What conditions are implicated with equinus contracture?

Plantar fasciitis
Metatarsalgia
Arch pain
Diabetic ulcers
Achilles tendinopathy

14

What is silfverskiold test?

Assess the isolated gastrocnemis vs the gastrocnemius-soleus contracture

Test knee in full extension and at 90*

15

Silfverskiold test gastroc tightness?


Improved ankle dorsiflexion with knee flexion = gastroc tightness

The gastroc is the more superficial calf muscle (soleus is deep) and so bending the knee isolates it and differentiates between the two for exam

16

Alignment deformities?

Flexible flatfoot
Flexible toe deformities
Hypermoble 1st ray

17

What is the normal apex of the foot when weight bearing?

Normal apex of 1 cm when weight bearing

18

Types of foot apex disorders?

Planus - flat foot
Cavus - high arch
Rocker bottom - shit show

19

Causes of planus problems?

Idiopathic
Equinus contracture
PTT dysfunction c

20

Causes of cavus problems?

Idiopathic
Charcot-marie-tooth

21

Causes of rocker bottom alignment?

Charcot
Congenital vertical talus

22

What will looking at a person’s foot from behind while weight-bearing?

Too many toes sign

You should see 1-2 toes, if you see more its a valgus hindfoot problem

23

What is the coleman block test?

Assess the flexibility fo deformity of varus hindfoot

The block will correct the deformity if it is secondary to plantar flexed first ray

24

What tests are used to ID syndesmotic (high ankle) injuries?

Squeeze test (88% specific)

External rotation test

25

What does anterior drawer test assess?

The anterior talofibular ligament (ATFL)

26

How is the anterior drawer test of the ankle performed?

Ankle is at 20* plantar flexion and knee is flexed at 90*

27

What does the talar tilt assess?

Calcaneofibular ligament (CFL) in neurtral position

Anterior talofibular ligament in plantar flexion

28

How is the talar tilt exam performed?

Inversion force to hindfoot

<5* is normal

29

What is the achilles tendon comprised of?

Gastrocnemius tendon
Soleus tendon

30

Where is the retrocalneal bursa?

It lies between the anterior surface and posterior superior aspect of the calcaneus